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The Use of Brace to Retrain Hemiparetic Gait

Primary Purpose

Stroke Nos Without Residual Deficits

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Bracing
Sponsored by
Federal University of Health Science of Porto Alegre
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke Nos Without Residual Deficits focused on measuring stroke,, rehabilitation,, hemiparesis,, gait training

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • the presence of hemiparesis after the stroke, with an evolution time of between 6 and 24 months, the ability to walk without using assistive aids, and the presence of genu recurvatum during the mid-stance in the gait.

Exclusion Criteria:

  • conditions that would preclude evaluation and training with the brace; for example, the presence of contractures or fixed deformities in the lower limbs, and moderate to severe impairments related to cognition, perception, attention, or language

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Bracing

    Arm Description

    Bracing: the patients began four weeks of training the gait with the brace, under the guidance and observation of the physiotherapist belonging to the group of authors of this study.

    Outcomes

    Primary Outcome Measures

    distribution of plantar pressures during walking
    To evaluate the distribution of plantar pressures during walking, for individuals with hemiparesis, before and after training with a brace for gait retraining and control of genu recurvatum. To observe the gait evolution of 12 patientes after the trainnig with a orthotic device.

    Secondary Outcome Measures

    Full Information

    First Posted
    March 4, 2014
    Last Updated
    March 6, 2014
    Sponsor
    Federal University of Health Science of Porto Alegre
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02082938
    Brief Title
    The Use of Brace to Retrain Hemiparetic Gait
    Official Title
    The Use of a Brace to Retrain Hemiparetic Gait in Patients With Genu Recurvatum: Effects on Plantar Pressure Distribution
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2012 (undefined)
    Primary Completion Date
    April 2012 (Actual)
    Study Completion Date
    January 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Federal University of Health Science of Porto Alegre

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to verify if the incorporation of a new brace, which assists in gait rehabilitation, can contribute to the rehabilitation process for stroke patients.
    Detailed Description
    Objective To compare the behavior of plantar pressure peak distribution, before and after training using a brace for gait rehabilitation. Method The brace was developed with the aim of promoting better biomechanical alignment, as well as providing proprioceptive information in order to stimulate action in the knee's flexor muscle groups, thus facilitating the activation pattern contrary to what occurs during genu recurvatum. We conducted a quasi-experimental "before and after" study with twelve hemiparetic adult patients who had genu recurvatum in the gait. The plantar pressure peaks were compared at the various moments of the study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Stroke Nos Without Residual Deficits
    Keywords
    stroke,, rehabilitation,, hemiparesis,, gait training

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    Participant
    Allocation
    N/A
    Enrollment
    12 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Bracing
    Arm Type
    Experimental
    Arm Description
    Bracing: the patients began four weeks of training the gait with the brace, under the guidance and observation of the physiotherapist belonging to the group of authors of this study.
    Intervention Type
    Device
    Intervention Name(s)
    Bracing
    Intervention Description
    Twice a week, for a period of 5 weeks, before the sessions in the physiotherapy clinic the patients participating in the study were asked to walk at a self-selected speed on flat ground along a corridor 50 meters long, with the brace being used for fifteen minutes of gait retraining of the affected side.
    Primary Outcome Measure Information:
    Title
    distribution of plantar pressures during walking
    Description
    To evaluate the distribution of plantar pressures during walking, for individuals with hemiparesis, before and after training with a brace for gait retraining and control of genu recurvatum. To observe the gait evolution of 12 patientes after the trainnig with a orthotic device.
    Time Frame
    4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: the presence of hemiparesis after the stroke, with an evolution time of between 6 and 24 months, the ability to walk without using assistive aids, and the presence of genu recurvatum during the mid-stance in the gait. Exclusion Criteria: conditions that would preclude evaluation and training with the brace; for example, the presence of contractures or fixed deformities in the lower limbs, and moderate to severe impairments related to cognition, perception, attention, or language
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Éder K Cardoso, Master
    Organizational Affiliation
    Federal University of Health Science of Porto Alegre
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    The Use of Brace to Retrain Hemiparetic Gait

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